DR. JAMES TIMOTHY O'SHEA M.D.
NPI 1487912309
Emergency Medicine in Newark, NJ

Q: What is James O'shea's NPI number?

The NPI number for James O'shea is 1487912309. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Q: What is James O'shea's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for James O'shea was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2012PECOS EnrolledAccepts Medicare Assignment

94.56/100

CMS Quality Rating

201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. James Timothy O'shea M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES TIMOTHY O'SHEA M.D. (NPI 1487912309) is an individual emergency medicine provider in Newark, New Jersey, licensed in Georgia (74234) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1487912309

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. JAMES TIMOTHY O'SHEACredential: M.D.

Location Address201 LYONS AVENewark, NJ 07112-2027

Mailing Address532 Boulevard SeAtlanta, GA 30312-3428

Phone(973) 926-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 28, 2012

Last NPPES UpdateJanuary 14, 2022

✔ NPI 1487912309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in GA · 74234

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

201 LYONS AVE, Newark, NJ 07112

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Timothy O'shea M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678881620

PECOS Enrollment IDI20150924002579

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show James O'shea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc

733 mi

Internal Medicine

1365 CLIFTON RD NE
Atlanta, GA 30322

Reassigned Medicare billing, Georgia enrollment
4,840 clinicians in this Medicare group

NPI 1396798229 (404) 778-2144

Emory Medical Care Foundation Inc

737 mi

Internal Medicine

80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063452381 (404) 778-7717

Emory Specialty Associates, LLC

798 mi

Anesthesiology

303 SMITH ST
Lagrange, GA 30240

Reassigned Medicare billing, Georgia enrollment
1,506 clinicians in this Medicare group

NPI 1407864168 (404) 778-4888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

84 services84 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

22 services20 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.49

Promoting Interoperability

100

Improvement Activities

Cost

75.54

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEITH MICHAEL SPELLMAN M.D.

Radiology (Diagnostic Radiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7960

DR. LARISSA SOPHIA DUDLEY M.D.

Emergency Medicine

201 LYONS AVE, SUITE D11
NEWARK, NJ 07112

Essex County (973) 926-6671

WAQAS BARI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (800) 843-2384

ERIKA YESENIA PINEDA MD

Pediatrics (Pediatric Critical Care Medicine)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

CASEY YEONJOO CHO APN

Nurse Practitioner (Acute Care)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-6938

KARLINA NGUYEN PA-C

Physician Assistant

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

BRIAN CAO MD

Anesthesiology (Pediatric Anesthesiology)

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 926-7000

DR. ALEXIS LORDI MD

Student in an Organized Health Care Education/Training Program

201 LYONS AVE
NEWARK, NJ 07112

Essex County (973) 900-4855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James O'shea's NPI number?

The NPI number for James O'shea is 1487912309. It was assigned to this individual provider in the NPPES registry on April 28, 2012.

Where is James O'shea located?

James O'shea practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

What is James O'shea's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James O'shea enrolled in Medicare?

Yes. James O'shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James O'shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James O'shea reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James O'shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James O'shea accept?

Health plans from Oscar Health list James O'shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James O'shea affiliated with any hospitals?

According to CMS data, James O'shea is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James O'shea was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.